Provider Demographics
NPI:1487209276
Name:COLLINS, BERKERRIA NAKIIS (RN)
Entity Type:Individual
Prefix:MS
First Name:BERKERRIA
Middle Name:NAKIIS
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-4005
Mailing Address - Country:US
Mailing Address - Phone:561-631-7602
Mailing Address - Fax:
Practice Address - Street 1:579 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-4005
Practice Address - Country:US
Practice Address - Phone:561-631-7602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9455305163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health